Organization
DRUGSTORE CAFE INC
Active
Other names
Drugstore Cafe
Organization subpart
No
Provider details
NPI number
Authorized official
KAMBIZ BARKHORADARZADEH (OWNER)
(310) 657-4500
Entity
Organization
Contact information
Practice address
8501 WILSHIRE BLVD, STE 105, BEVERLY HILLS, CA 90211-3150
(310) 657-4500
(310) 657-4526
Mailing address
8501 WILSHIRE BLVD, STE 105, BEVERLY HILLS, CA 90211-3150
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
49229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5632307
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/25/2008
Last updated
10/15/2008
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